Individual provider Active NPI

Kunj Bhupeshchandra Sanghvi, DDS

  • General Practice Dentistry
  • Irvington, NJ
National Provider Identifier
1891367967
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02879200 Issued in NJ
Practice address
1152 Clinton Ave
Irvington, NJ 07111-2045
Phone
(201) 682-8698
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26147 FL
General Practice Dentistry 1223G0001X 22DI02879200 NJ Primary

Addresses

Primary practice location

1152 Clinton Ave
Irvington, NJ 07111-2045

Mailing address

161 Forest Dr
Piscataway, NJ 08854-2273
Phone (201) 682-8698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26147FLMDGeneral Practice Dentistry
22DI02879200NJMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1891367967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FOREST DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542273",
            "telephone_number": "201-682-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 CLINTON AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112045",
            "telephone_number": "201-682-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHVI",
        "first_name": "KUNJ",
        "middle_name": "BHUPESHCHANDRA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26147",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02879200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.